A Novel Radiological Predictor for Postoperative Pancreatic Fistula After Stapled Distal Pancreatectomy

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dc.authoridBag, Yusuf Murat/0000-0002-0159-9356
dc.authoridTOPEL, CAGDAS/0000-0001-8312-6896
dc.authoridOZDEMIR, EGEMEN/0000-0002-8022-8245
dc.authoridSaglam, Kutay/0000-0002-0919-8370
dc.authoridSumer, Fatih/0000-0002-0557-1369
dc.authorwosidBag, Yusuf Murat/ABD-2949-2021
dc.authorwosidTOPEL, CAGDAS/KCY-4084-2024
dc.authorwosidOZDEMIR, EGEMEN/GVT-6777-2022
dc.authorwosidSaglam, Kutay/ACN-1173-2022
dc.authorwosidSumer, Fatih/F-8042-2017
dc.contributor.authorBag, Yusuf Murat
dc.contributor.authorTopel, Cagdas
dc.contributor.authorOzdemir, Egemen
dc.contributor.authorSaglam, Kutay
dc.contributor.authorSumer, Fatih
dc.contributor.authorKayaalp, Cuneyt
dc.date.accessioned2024-08-04T20:50:19Z
dc.date.available2024-08-04T20:50:19Z
dc.date.issued2021
dc.departmentİnönü Üniversitesien_US
dc.description.abstractBackground Distal pancreatectomy (DP) is the main surgical treatment of benign and malignant lesions located in pancreatic body and tail. Postoperative pancreatic fistula (POPF) following DP is still a considerable cause of morbidity. Identification of risk factors for POPF after DP might provide some preventive applications. We aimed to evaluate the factors affecting POPF after DP and to present a new and easy radiological predictive factor. Materials and Methods Thirty-four patients underwent DP with stapler closure were included. Several risk factors for clinically relevant POPF (CR-POPF) were analyzed. Additionally, computed tomography findings of pancreatic thickness (PT), main pancreatic duct diameter (MPDD), and PT/MPDD ratio were evaluated for POPF. Results CR-POPF was observed in 10 patients (29.4%). Univariate and multivariate analyses showed that previous abdominal surgery and PT/MPDD ratio were predictive factors for CR-POPF after DP (P = 0.040, P = 0.034, respectively). The cutoff value for the PT/MPDD ratio was 8. Conclusion A PT/MPDD ratio greater than 8 (a wide pancreas with a narrow duct) is a significant predictive factor for CR-POPF following DP.en_US
dc.identifier.doi10.1177/0003134820952429
dc.identifier.endpage731en_US
dc.identifier.issn0003-1348
dc.identifier.issn1555-9823
dc.identifier.issue5en_US
dc.identifier.pmid33170027en_US
dc.identifier.scopus2-s2.0-85108155836en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage725en_US
dc.identifier.urihttps://doi.org/10.1177/0003134820952429
dc.identifier.urihttps://hdl.handle.net/11616/99993
dc.identifier.volume87en_US
dc.identifier.wosWOS:000663373500010en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSage Publications Incen_US
dc.relation.ispartofAmerican Surgeonen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectpancreatic leaken_US
dc.subjectpancreatic body and tail resectionen_US
dc.subjectrisken_US
dc.titleA Novel Radiological Predictor for Postoperative Pancreatic Fistula After Stapled Distal Pancreatectomyen_US
dc.typeArticleen_US

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